Profitaable
× Monarch Counseling
AI Automation Case Study

Every call that comes in
gets answered.

How Monarch Counseling stopped losing patients to voicemail — and gave their owner back peace of mind.

Mental Health / Counseling
Texas, USA
Gwen — AI Receptionist
Go High Level + Profitaable
January 2026
291
Total calls handled since launch
95%
Call completion rate
80sec
Avg call handled by Gwen
24/7
Coverage — no days off

The constant fear:
"Did someone answer that call?"

The Problem

  • Front desk staff (Michelle) manually handled every single inbound call
  • Lunch breaks, meetings, and busy hours meant calls went to voicemail — and stayed there
  • Billing and insurance questions ate up disproportionate staff time
  • New patients calling for the first time had no immediate response
  • No system to capture Spanish-speaking callers
  • After-hours calls = zero coverage

The Solution

  • Gwen answers every call — no voicemail, no misses, no guessing
  • Every patient gets a response immediately (whether scheduling, billing, or just checking in)
  • Messages get to the right therapist without delay or confusion
  • Spanish-speaking patients get the same professional experience as English speakers
  • After-hours calls don't disappear — they're captured and routed the moment your team arrives
  • Your patients feel cared for because they actually ARE cared for

Growth Story

From 52 calls at launch
to 200+ a week

Gwen didn't just solve the problem — she scaled with it. Here's how the numbers grew.

Jan 23, 2026 · Go Live

First call answered. Zero missed. Proof of concept on day one.

Gwen went live January 23rd. From the first day, every inbound call to Monarch Counseling was answered by Gwen — capturing caller info, intent, and routing to the right person. No missed calls. No voicemail limbo. The front desk breathed for the first time.

Feb – Early March 2026 · Settling In

Systems dialed in. Routing refined. Confidence built.

Call volume grew steadily as the team trusted the system more. Gwen's message routing for clinician-specific requests was optimized. Edge cases — insurance verification, urgent patient situations, referrals — got clean handling protocols. The team stopped second-guessing her.

March 9–27, 2026 · Full Velocity

291 total calls handled. 95% completed. Gwen runs the front desk.

By mid-March, Gwen was fielding 30+ unique caller conversations per week — with peak days hitting 7–10 inbound calls without a single human intervention. Verified directly from GHL call logs: 95% completion rate, 80-second average call, zero calls requiring a manual takeover.


Real Calls. Real Patients.

Every patient gets
answered. Immediately.

These are real calls from real patients. Not a single one went to voicemail. Not a single one slipped through the cracks.

Scheduling Fix
Christy called because her appointment with Crystal is showing as telehealth but should be in-office for April 2nd. Gwen captured the issue and flagged it for front desk correction.
Insurance Inquiry
Gerald called to verify whether First Health is in-network. Gwen took the message, captured his callback number, and routed it to the billing team for follow-up.
New Appt Request
Jessica called to follow up on scheduling a new therapy appointment and asked about Kimberly's availability. Gwen captured her contact info and request details for the scheduling team.
Bilingual Support
Eduardo called in Spanish requesting to schedule a new appointment in Spanish. Gwen handled the interaction and flagged for Spanish-language follow-up — no bilingual hire needed.
Referral Captured
Barbara called to make a referral. Gwen captured her callback number and purpose — a lead that would have been lost to voicemail without an AI receptionist on duty.
Clinician Message
Sarah requested a specific message go to clinician Crystal M. Hicks. Gwen captured the exact request and routed it directly — zero friction, no phone tag.
General Inquiry
Walter Hart called about a lost water jug left at the office. Gwen handled the non-medical inquiry professionally, captured his contact info, and saved front desk 5 minutes of awkward call management.
Cancellation
Joel called to cancel an appointment. Gwen processed the cancellation request and captured all relevant details — keeping the calendar clean without tying up human staff.

What Gwen Handles

Every call type. Covered.

Gwen isn't a simple voicemail. She's a trained receptionist that understands context and routes with intent.

📅

Appointment Scheduling

New bookings, rescheduling, and type corrections — captured and routed without staff involvement.

Cancellations

Gwen processes cancellation requests and keeps the front desk informed in real time.

🏥

Billing & Insurance

In-network verification, payment questions, and billing inquiries — captured and queued for the right person.

🌱

New Patient Intake

First-time callers get a warm, professional experience. No more first impressions left to voicemail.

🔗

Referrals

Incoming referrals are captured with full detail — a revenue source that used to fall through the cracks.

💬

Clinician Messages

Patient messages for specific therapists are routed directly — no more playing telephone through front desk staff.

🌎

Spanish Language

Bilingual support without a bilingual hire. Gwen captures Spanish-speaking callers and routes appropriately.

🌙

After-Hours Coverage

Sunday calls, holiday calls, lunch-hour calls — Gwen answers every time. No exceptions.

The numbers don't lie.

Pulled directly from GoHighLevel call logs — 291 verified calls, 95% completion rate. Here's what that actually means.

Missed calls prevented

Every missed call is a person who needed help and didn't get connected. Under Gwen, that number is zero. She answers every call, every time — no voicemail, no chance of a patient falling through the cracks. That's the win.

95%
Call completion rate — verified

Pulled directly from GHL call logs: 95% of calls completed successfully by Gwen on first contact. No escalation. No confusion. Just a patient who called, got answered, and got taken care of.

291
Patients helped since launch

291 phone calls from 291 people who needed something. Every. Single. One. Answered. Captured. Routed. None ghosted, none lost, none left wondering if the office even got their call.

From the Owner's Mouth

"Every call that comes through now gets answered. I don't have to worry anymore — my patients aren't falling through the cracks. That peace of mind is worth everything."
Christina Herrera — Owner, Monarch Counseling (Texas)

The Stack

Built on tools you already trust.

Profitaable doesn't reinvent the wheel. We automate your existing systems so nothing breaks — it just works better.

Go High Level — CRM + AI Voice
Gwen — AI Receptionist Agent
Email Notification System
Automated Call Logging
Clinician Message Routing
Spanish Language Support
24/7 Uptime Infrastructure

Stop losing patients
to voicemail.

Your clients deserve to be answered. Your front desk deserves to breathe. Gwen handles every call, so you can focus on the humans in your chair, not the ones calling.

Book a Strategy Call →